36C77018Q0390-002.xlsx

XLSX spreadsheet 31 KB Posted Mar 29, 2018

Attached to: 21 Pharmaceuticals Federal contract opportunity
Solicitation number: 36C77018Q0390
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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36C77018Q0390 S02-Pricing-Sche.xlsx

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File	Type	Posted
36C77018Q0390-001.docx	DOCX document	Mar 29, 2018
36C77018Q0390-000.docx	DOCX document	Mar 29, 2018

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Quote Spreadsheet

CMOP Chelmsford
36C77018Q0390				Delivery Before or On: 04/17/2018
Solicitation Attachment 1 - Quote Spreadsheet				Posted Date:		3/29/18
		Vendor Complete		Closing Date:		4/6/18
Vendor Name:				Closing Time:		8:00AM Central Standard Time (CST)
DUNS #:				E-mail quotes to Jessica.Hansroth@va.gov
POC Name:				Signed SF1449 Form and Copy of State-Issued WholesaleDrug Distributor License Also Required
POC E-Mail:				Vendors shall submit no more than (1) one quote per vendor
Phone:				Trade Agreement Act (TAA)-Compliant National Drug Codes (NDC) Preferred
				If vendors are proposing NDC with count other than CMOP listed NDC,
				QTY shall be adjusted for that count and this should be noted in "Vendor Comments"
				Vendor Complete
Line Item	Item Number	CMOP Facility	Description	NDC#	Alternate NDCs	Mfr	Country of Origin	Total QTY	Unit	Unit Price	Total Price	Vendor Comments	Total	Vendor Comments
1	A0606	Chelmsford	AMLODIPINE 5/BENAZEPRIL 20MG CAP	55111-0340-05				156	BT	$ - 0	$0.00		$ - 0
2	A0765	Chelmsford	ALENDRONATE 5MG TAB	00115-1676-01				24	BT	$ - 0	$0.00
3	C0245	Chelmsford	CHLORZOXAZONE 500MG TAB	00591-2520-01				24	BT	$ - 0	$0.00
4	C0523	Chelmsford	CORTISONE ACETATE 25MG TAB	00143-9700-01				12	BT	$ - 0	$0.00
5	C0591	Chelmsford	CLARITHROMYCIN 500MG TAB 60CT	59746-0743-60				12	BT	$ - 0	$0.00
6	C1708	Chelmsford	CASTOR OIL/PERUVIAN BALSAM TOP OINT	58980-0780-21				288	TU	$ - 0	$0.00
7	D1033	Chelmsford	DILTIAZEM HCL 90MG 12HR CAP,SA 100CT	00378-6090-01				84	BT	$ - 0	$0.00
8	D1034	Chelmsford	DILTIAZEM HCL 120MG 12HR SA CAP	00378-6120-01				60	BT	$ - 0	$0.00
9	F0080	Chelmsford	FUROSEMIDE 80MG TAB, 500CT	69315-0118-05				144	EA	$ - 0	$0.00
10	H0062	Chelmsford	HYDROCORTISONE 2.5% OINT 20GM	45802-0014-02				384	TU	$ - 0	$0.00
11	H0469	Chelmsford	HYDROCORTISONE 1%/PRAMOXINE 1% TOP OINT 30GM	54766-0763-04				36	TU	$ - 0	$0.00
12	L0051	Chelmsford	LITHIUM CARBONATE 450MG SA TAB 100CT	00378-1450-01				288	BT		$0.00
13	O0180	Chelmsford	OLANZAPINE 5MG RAPID DISINTEGRATING TAB	60505-3275-03				324	BX		$0.00
14	P0021	Chelmsford	PENICILLIN VK 250MG TAB 100CT	57237-0040-01				12	BT		$0.00
15	P0060	Chelmsford	PILOCARPINE HCL 1% OPH SOLN 15ML	61314-0203-15				36	BT		$0.00
16	P0062	Chelmsford	PILOCARPINE HCL 2% OPH SOLN 15ML	61314-0204-15				60	BT		$0.00
17	R0004	Chelmsford	RAMIPRIL 5MG CAP 100CT	65862-0476-01				384	BT		$0.00
18	S0044	Chelmsford	SPIRONOLACTONE 50MG TAB 100CT	59746-0217-01				192	BT		$0.00
19	S0045	Chelmsford	SUCRALFATE 1GM TAB 500CT	00093-2210-05				84	BT		$0.00
20	2922	Chelmsford	SULFACETAMIDE NA 10/SULFUR 5% LOT	44523-0602-01				384	EA	$ - 0	$0.00
21	S0435	Chelmsford	SALICYLIC ACID 6% TOP CREAM	45802-0806-01				48	BT	$ - 0	$0.00
GRAND TOTAL PRICE:											$0.00	$0.00

Offeror shall supply their state wholesale distributor licensure with offer verifying compliance with the Drug Supply Chain Security Act (DSCSA) with their quote. Vendors that fail to submit a copy of their state license shall be deemed technically unacceptable.

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